HomeMy Public PortalAbout5232 TEMPLE CITY BLVD_Electrical__ 76A11C� �63•CEB�OAO ! 09 /
` APPLICATION FOR ELECTRICAL PERWI
COUNTY OF LOS ANGELES
\Y, DEPARTMENT OF COUNTY ENGINEER BUILDING �(
BUILDING AND SAFETY DIVISION ADDRESS L../
JOHN A LAMBIE, COUNTY ENGINEER A
COLEMAN W JENKINS, SUPERINTENDENT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS BT c
No [ C
AH FEE Soh AJ`
i OWNER
RECEIPT i ^�!
O
LIGHT_ TOTAL FIRST 20 20 ADDRESS p
tyu
SWITCH OVER 20 10
CITY-7Q0 TEL NO
T PLANCHECK
LIGHTING TOTAL FIRST 20 20 V APPLICANT
FIXTURES OVER 20 10 ADDRESS
RANGE_DRYER_WTR HTR CITY TEL NO
STA COGK_OISP _F A U _ CONTRACTOR O W
SPACE HTR —AIR COND ADDRESS
CLOTHES WASH _DISHWASH CITY TEL NO
FAN_OTHER 1 00 LICENSE NO CLASS
MOT01i5,TRANSFORMERS RATING 1 HEREBY ACKNOWLEDGE THAT HAVE READ THIS APPLICATION
IND HEATERS ETC HP KW KVA AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
SIZE Q TYPE OVER TO WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING
D - 1 1 OO I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED .WD/M
�ICERSEO AS REQUIRED BY LOS ANGELES COUNTY AND STATEOF
1 - 1D 3 00 CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF AND INTEND TO
RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY O
10 — 50 5 00 (J
SIGNATURE
50 — 100 10DO OF PERMITTEE Q
100 — 500 1500 DIB TRICT No GRo xoN P S r G
S IGN,GAS SIGN AND ONE CIRCUIT 3 00
TUBE OR Z
MARQUEE ADDITIONAL CIRCUITS 1 00 NOTES
SERVICE NOT OVER 600 VOLTS OR 200 ANP 2 00
SERVICE OVER 600 VOLTS OR 200 AMP 5 00
TEMP SERVICE, POLE, &APPURTENANCES 3 00 APPROVALS DATE nWECTOR'E SIGNATURE
TEMP POWER POLE
UNDERSEAS WORK
ROUGH CONDUIT
WIRING �I v
III
PERMIT FEE (SUB TOTAL) FIXTURES 1
PLAN CHECK FEE (50% PERMIT FEE) POWER AUTHORIZED 1
PERMIT ISSUING FEE 2 00 UTILITY CO NOTIFIED
SUPPLEMENTARY PERMIT ISSUING FEE 1 00 FINAL
TOTAL FEE14- 1
JOSEPH C ROOHAN
SUPERVISING ELECTRI ENGINEER
PLAN CHECK VALIDATION CK M Q CASH PERMIT VALIDATION cR M D CASH
fir_ 3 5 6 7F_ FEB 2 2 D 5.605��J/
SEE BACK OF APPLICATION ro. COMPLPTF Fre `•CNFOUI F